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NPI Code Detail

MEDICARE: NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER

MEDICARE: NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16177311OTHERNYOPERATING CERTIFICATE

General Provider Information

NPI Number : 1164467007
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER
Provider Business Mailing Address
First Line : 471 ALBANY AVE
Second Line :
City : KINGSTON
State : NY
Zip : 12401-2138
Country : US
Telephone Number : 845-331-4300
Fax Number : 845-331-4931
Provider Business Practice Location Address
First Line : 139 CORNELL ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3633
Country : US
Telephone Number : 845-338-1234
Fax Number : 845-338-6284
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : STACEY LYN SADOWSKI
Credential :
Telephone Number : 845-331-4300
Provider Enumeration Date : 06/17/2006
Last Update Date : 09/12/2022

Similar Medicare Providers

1609028166 — BARBARA CHASE LCSW
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-6284
1134164072 — MS. SAFIEH GHODS-KASH PHD
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-6284
1841213634 — MS. SHERRIE M WILLIAMS LMSW
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-6284
1134142888 — MR. MICHAEL GERARD DEVINE LMSW
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-6284
1629091343 — MR. ROBERT ROTHMAN SLP
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-6284
1831113539 — NANCY LEE LAWRENCE LPN
Practice Location Address:
139 CORNELL ST
KINGSTON, NY
12401-3633
Practice Phone: 845-338-1234
Practice Fax: 845-338-1234

Directions to “NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER ” Practice Location

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